Blake Thomas Kennedy, PHARMD

Pharmacist · Ishpeming, MI

Individual Active NPI

NPI number 1366038788

Practice location

826 N Pine St
Ishpeming, MI 49849-1435
Phone
(269) 967-5121

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NPI record

NPI
1366038788
Entity type
Individual (Type 1)
Enumeration date
December 19, 2020
Last updated
December 19, 2020
Certified
December 19, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 5302041893 MI

About Dr. Kennedy

Blake Thomas Kennedy, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 826 N Pine St, Ishpeming, MI 49849-1435. The NPI number 1366038788 was assigned on December 19, 2020 and the record was last updated on December 19, 2020.

Dr. Kennedy lists a license in the registry: #5302041893 (MI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Thomas Kennedy, PHARMD?

The NPI number is 1366038788.

What is the phone number of Dr. Kennedy?

The phone number listed for the practice location is (269) 967-5121.

Where is Dr. Kennedy located?

826 N Pine St, Ishpeming, MI 49849-1435.

What is the taxonomy code for Dr. Kennedy?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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